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Reimbursement

Nov 01 | Susan Morse
The final rule will also allow for higher outpatient payment when Medicare beneficiaries receive certain procedures…
cost-sharing subsidies
Nov 01 | Susan Morse
Accounting for lost subsidies, premium increases for 2018 silver-tiered plans range from 7.1 to 38 percent, Kaiser Family…
Nov 01 | Kaiser Health News
State markets are in charge of their own marketing and enrollment assistance programs, so are somewhat immune from Trump…
Aetna-CVS deal could hinge on consumer benefit
Oct 31 | Susan Morse
After failed merger with Humana, Aetna would need to convince feds that the merger is more than two industry…
APMs earning bigger share of healthcare dollars
Oct 31 | Beth Jones Sanborn
In 2016, the total national spending on pay-for-quality hit $354.5 billion.
Oct 31 | Susan Morse
Insurer did not address rumors of CVS takeover, but said decision on its pharmacy benefits manager would be announced by…
Oct 30 | Beth Jones Sanborn
AMA report finds 75.6 percent of physicians had practices that treated uninsured patients in 2016, compared to 81.3 percent in 2012.
Oct 30 | Susan Morse
Top earner Palm Beach Accountable Care Organization saved Medicare $62 million, earning $30 million for the ACO.
Oct 30 | Mike Miliard
The new program aims to streamline quality measures providers are required to meet, rewarding outcomes rather than micromanaging…
Oct 26 | Jeff Lagasse
Patients who report more intense and numerous physical and psychological symptoms see longer, and often unplanned, hospital…

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